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A Case of Erdheim-Chester Disease Who Has Policythemia Vera (진성 적혈구증다증 환자에서 발현한 Erdheim-Chester Disease 1예)

  • Kim, Ji Eun;Lee, Hyun Jeong;Rhee, Chin Kook;Yoon, Hyung Kyu;Song, Jeong Sup
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.3
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    • pp.224-229
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    • 2008
  • Erdheim-Chester disease (ECD) is a rare disease that is characterized by multi-organ involvement of foamy histiocytes. It causes systemic inflammation, and also demonstrates various clinical manifestations and has a poor prognosis. We encountered a case of ECD in a patient that had been treated for underlying polycythemia vera. As far as we know, this is the first reported case worldwide where ECD developed in association with polycythemia vera. A 59-year-old man visited our hospital due to pleuric pain at the right side of the chest. Pleural tissue that was obtained following a thoracoscopic biopsy showed non-Langerhan's cell histiocytosis, suggesting the presence of ECD. The histiocytes stained positively for CD68, but were negative for S-100 and CD1a. The patient also complained of pain at both hips and the right shoulder area. An X-ray and magnetic resonance image demonstrated that the lesion showed sclerosis and osteolysis in both the proximal femur and right humerus. Treatment was started with predinisolone, and subsequently cyclophosphamide was added. ECD is a very rare multi-systemic disease, and its cause and therapeutic options have not yet been defined. ECD has a poor prognosis. Therefore, we believe that additional case studies are needed prior to the determination of a novel therapy for ECD.

Correlation of the Neuropsychological Screening Battery (NSB) and Neuroanatomy for the Parkinson's Disease with Mild Cognitive Impairment by Using the Analysis of Cerebral Cortex Thickness in the Brain MRI (뇌 자기공명영상에서 대뇌 피질 두께 분석법을 이용한 파킨슨병의 경도인지장애 신경심리검사와 신경해부학적 상관관계)

  • Lee, Hyeonyong;Park, Hyonghu;Lee, Jaeseung;Im, Inchul
    • Journal of the Korean Society of Radiology
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    • v.8 no.4
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    • pp.163-170
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    • 2014
  • This study is to investigate neuro-anatomical correlation between neuropsychological results and cerebral cortex thickness of cognitive ability in the brain MRI targeting the patients with mild cognitive impairment. It was that 78 people who were diagnosed as first Parkinson's disease followed by neuropsychological screening battery(Parkinson's disease with mild cognitive impairment: 39 people; Parkinson's disease with normal cognition: 39 people) and 32 people of normal group were selected. Correlation between mild cognitive impairment and normal cognitive impairment and correlation between neuropsychological screening battery and cerebral cortex thickness in the brain MRI were performed by independent sample t-test or Pearson correlation coefficient and then level of significance of collected data was verified in p<0.05. As a result, cerebral cortex thickness of the Parkinson's disease with mild cognitive impairment in both side precuneas and right inferiortemporal lobe had statistically significant decrease. In addition, function of visuospatial ability, verbal and visual memory was reduced in neuropsychological screening battery for cognitive assessment. Especially, there was correlation between neuropsychological screening battery of verbal and visual memory anatomical left precuneus.

Effect of Astragali Radix Pharmacocupuncture for Wound Healing of Full-Thickness Skin Wound in Mouse (황기약침이 전층피부손상 마우스의 치유에 미치는 영향)

  • Hong, Chang-Ho;Kang, Kyung-Hwa;Yoon, Hwa-Jung;Yoon, Hyoun-Min;Song, Choon-Ho;Kim, Cheol-Hong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.1
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    • pp.22-31
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    • 2018
  • Objectives : In this study, we investigated whether Astragali Radix Pharmacocupuncture (ARP) has an effective on the full thickness defect wound healing process of mouse. Methods : A total of 50 mice (ICR mouse, 7 week-old male) were divided into control group and ARP group. A single full thickness skin defect was made on the dorsal side of the each mouse using an 8mm diameter biopsy punch. Control group were treated with 0.2㎖ saline and ARP group were treat with 0.2ml ARP at 8 points around the wound every three days total 4 times during the experimental period. The change in wound size, contraction rate, healing rate, and epithelization rate was measured by digital images taken on days 3, 6, 9, and 13, and evaluated using a digital image analysis program. Tissues were collected for histological analysis, RT-PCR, and Western blot on days 3, 6, 9, and 15. Results : The results are as follows. ARP group accelerated the rate of wound contraction, wound healing and epithelization compared to the control group. ARP group showed the decrease of inflammatory cells in early inflammatory phase compared to the control group. ARP group upregulated PECAM-1 mRNA and protein expression compared to the control group. ARP group inhibited the scar width and area compared to the control group. Conclusions: ARP showed positive effects on wound healing through the inhibition of inflammatory reaction and increase of PECAM-1 expression related to the wound healing process.

Optical Design of a Subminiature Catadioptric Omnidirectional Optical System with an LED Illumination System for a Capsule Endoscope (LED 조명계를 결합한 캡슐내시경용 초소형 반사굴절식 전방위 광학계의 설계)

  • Moon, Tae Sung;Jo, Jae Heung
    • Korean Journal of Optics and Photonics
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    • v.32 no.2
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    • pp.68-78
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    • 2021
  • A subminiature catadioptric omnidirectional optical system (SCOOS) with 2 mirrors, 6 plastic aspherical lenses, and an illumination system of 6 light emitting diodes, to observe the 360° panoramic image of the inner intestine, is optically designed and evaluated for a capsule endoscope. The total length, overall length, half field of view (HFOV), and F-number of the SCOOS are 14.3 mm, 8.93 mm, 51°~120°, and 3.5, respectively. The optical system has a complementary metal-oxide-semiconductor sensor with 0.1 megapixels, and an illumination system of 6 light-emitting diodes (LEDs) with 0.25 lm to illuminate on the 360° side view of the intestine along the optical axis. As a result, the spatial frequency at the modulation transfer function (MTF) of 0.3, the depth of focus, and the cumulative probability of tolerance at the Nyquist frequency of 44 lp/mm and MTF of 0.3 of the optimized optical system are obtained as 130 lp/mm, -0.097 mm to +0.076 mm, and 90.5%, respectively. Additionally, the simulated illuminance of the LED illumination system at the inner surface of the intestine within HFOV, at a distance of 15.0 mm from the optical axis, is from a minimum of 315 lx to a maximum of 725 lx, which is a sufficient illumination and visibility.

A Study of Applied Pressure According to Knee variable During Lachman Test for Anterior Cruciate Ligament using Telos Device (Telos Device를 이용한 전방십자인대 Lachman 검사 시 무릎두께와 활성도에 따른 인가압력에 대한 고찰)

  • Lim, Jong-Cheon;Kim, Sang-Hyuk;Seo, Sang-Hyuk;Kim, Yon-Min
    • Journal of the Korean Society of Radiology
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    • v.13 no.3
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    • pp.391-398
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    • 2019
  • The purpose of study is to investigate the difference of the daN force applied during the examination using Telos Device and the degree of fluctuation of anterior cruciate ligament according to the individual differences of the muscles involved in knee stability. The examination was done by the Lachman test using Telos Device and the changes of anterior cruciate ligament were measured by varying the force of 0. 15, 30 daN on each right and left side and the force of 30 daN after the bruce protocol. Computed tomography (CT) was used to measure muscle mass. As a result of measuring the degree of fluctuation of the anterior cruciate ligament according to the change of the force applied to the Telos Device, there was a statistically significant difference in the knee fluctuation when 15 daN and 30 daN were applied on both right and left. Also, it is analyzed that the degree of fluctuation of anterior cruciate ligament varies according to the difference of individual's muscle mass. Therefore, it is considered that the force applied to the Telos Device should be changed according to the difference of individual's muscle mass.

Gravity Field Interpretation and Underground Structure Modelling as a Method of Setting Horizontal and Vertical Zoning of a Active Fault Core (활성단층의 3차원적인 규모를 결정하기 위한 중력장 데이터의 해석 및 지각구조 모델링: 양산단층에서의 예)

  • Choi, Sungchan;Kim, Sung-Wook;Choi, Eun-Kyeong;Lee, Young-Cheol;Ha, Sangmin
    • Economic and Environmental Geology
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    • v.54 no.1
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    • pp.91-103
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    • 2021
  • In order to estimate the vertical and horizontal structural in the Yangsan fault core line (Naengsuri area, Pohang), we carried out gravity field measurements and interpretation procedures such as Euler deconvolution method and curvature analysis in addition to the forward modelling technique (i.e. IGMAS+). We found a prominent gravity difference of more than 1.5 mGal across the fault core. This indicates a distinct density difference between the western and eastern crustal area across the Yangsan fault line. Comparing this gravity field interpretation with other existent geologic and geophysical survey data (e.g. LiDAR, trenching, electric resistivity measurements), It is concluded that (1) the prominent gravity difference is caused by the density difference of about 0.1 g/㎤ between the Bulguksa Granite in the west and the Cretaceous Sandstone in the east side, (2) the fault core is elongated vertically into a depth of about 2,000 meters and extended horizontally 3,000 meters to the NNE direction from Naengsuri area. Our results present that the gravity field method is a very effective tool to estimate a three -dimensional image of the active fault core.

Measurement Technique of Indoor location Based on Markerless applicable to AR (AR에 적용 가능한 마커리스 기반의 실내 위치 측정 기법)

  • Kim, Jae-Hyeong;Lee, Seung-Ho
    • Journal of IKEEE
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    • v.25 no.2
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    • pp.243-251
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    • 2021
  • In this paper, we propose a measurement technique of indoor location based on markerless applicable to AR. The proposed technique has the following originality. The first is to extract feature points and use them to generate local patches to enable faster computation by learning and using only local patches that are more useful than the surroundings without learning the entire image. Second, learning is performed through deep learning using the convolution neural network structure to improve accuracy by reducing the error rate. Third, unlike the existing feature point matching technique, it enables indoor location measurement including left and right movement. Fourth, since the indoor location is newly measured every frame, errors occurring in the front side during movement are prevented from accumulating. Therefore, it has the advantage that the error between the final arrival point and the predicted indoor location does not increase even if the moving distance increases. As a result of the experiment conducted to evaluate the time required and accuracy of the measurement technique of indoor location based on markerless applicable to AR proposed in this paper, the difference between the actual indoor location and the measured indoor location is an average of 12.8cm and a maximum of 21.2cm. As measured, the indoor location measurement accuracy was better than that of the existing IEEE paper. In addition, it was determined that it was possible to measure the user's indoor location in real time by displaying the measured result at 20 frames per second.

Web viewer for sharing of prosthesis design between laboratory and clinic: Case report (웹뷰어를 이용한 기공실과 진료실 측 간의 보철물 설계 형태의 공유: 증례 보고)

  • Jang, Sung Won;Lee, Ho Jin;Kim, So-Yeun;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.276-282
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    • 2022
  • Close communication between clinicians and dental technicians is an important factor in providing successful prostheses. The exchange of opinions with laboratories has mainly been in the form of written prescriptions and a photos, but it has been reported that information transmission may be limited. Currently, as digital technology-based prosthesis fabrication is common, 3D image objects can be stored on the web and can be easily viewed through a mobile web browser. In this article, we introduce cases where the design of the prosthesis was improved by designing the prosthesis using CAD software and reviewing the prosthesis designed with the clinical side through a web viewer. Through this protocol, it was possible to improve the occlusal surface and crown contour, the opposing teeth condition, the size of the gingival embrasure, and the shape of pontic. The process of sharing, discussing, and modifying the prosthesis design with the clinician and technician through a web viewer contributes to reflecting the diversity of oral conditions and individualized needs, thereby helping to make functional and esthetic prostheses.

A Study on the Possibility of Pancreas Detection through Extraction of Effective Atomic Number using a Simulation such as Dual-energy CT (이중에너지 CT와 같은 시뮬레이션을 이용한 유효원자번호 추출을 통한 췌장 검출 가능성 연구)

  • Son, Ki-Hong;Lee, Soo-Yeul;Chung, Myung-Ae;Kim, Dae-Hong
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.537-543
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    • 2022
  • The purpose of this simulation study was to evaluate the possibility of pancreas detection through effective atomic number information using dual-energy computed tomography(CT). The effective atomic number of 10 tissue-equivalent materials were estimated through stoichiometric calibration. For stoichiometric calibration, HU values at low-energy (80 kV) and high-energy (140 kV) for 10 tissue-equivalent materials were used. Based on this method, the effective atomic number image of the tissue-equivalent material was extracted through an iterative algorithm. According to the results, the attenuation ratio in accordance with the effective atomic number was estimated to have an R2 value of 0.9999, and the effective atomic number of Pancreas, Water, Liver, Blood, Spongiosa, and Cortical bone was overall within 1% accuracy compared to the theoretical value. Conventional pancreatic cancer examination uses a contrast medium, so there is a possibility of potential side effects of the contrast medium. In order to solve this problem, it is thought that it will be possible to contribute to an accurate and safe examination by extracting the effective atomic number using dual-energy CT without contrast enhancement. Based on this study, future research will be conducted on the detection of pancreatic cancer using the HU value of pancreatic cancer based on clinical images.

Control of the flow past a sphere in a turbulent boundary layer using O-ring

  • Okbaz, Abdulkerim;Ozgoren, Muammer;Canpolat, Cetin;Sahin, Besir;Akilli, Huseyin
    • Wind and Structures
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    • v.35 no.1
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    • pp.1-20
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    • 2022
  • This research work presents an experimental study's outcomes to reveal the impact of an O-ring on the flow control over a sphere placed in a turbulent boundary layer. The investigation is performed quantitatively and qualitatively using particle image velocimetry (PIV) and dye visualization. The sphere model having a diamater of 42.5 mm is located in a turbulent boundary layer flow over a smooth plate for gap ratios of 0≤G/D≤1.5 at Reynolds number of 5 × 103. Flow characteristics, including patterns of instantaneous vorticity, streaklines, time-averaged streamlines, velocity vectors, velocity fluctuations, Reynolds stress correlations, and turbulence kinetic energy (), are compared and discussed for a naked sphere and spheres having O-rings. The boundary layer velocity gradient and proximity of the sphere to the flat plate profoundly influence the flow dynamics. At proximity ratios of G/D=0.1 and 0.25, a wall jet is formed between lower side of the sphere and flat plate, and velocity fluctuations increase in regions close to the wall. At G/D=0.25, the jet flow also induces local flow separations on the flat plate. At higher proximity ratios, the velocity gradient of the boundary layer causes asymmetries in the mean flow characteristics and turbulence values in the wake region. It is observed that the O-ring with various placement angles (𝜃) on the sphere has a considerable alteration in the flow structure and turbulence statistics on the wake. At lower placement angles, where the O-ring is closer to the forward stagnation point of the sphere, the flow control performance of the O-ring is limited; however, its impact on the flow separation becomes pronounced as it is moved away from the forward stagnation point. At G/D=1.50 for O-ring diameters of 4.7 (2 mm) and 7 (3 mm) percent of the sphere diameter, the -ring exhibits remarkable flow control at 𝜃=50° and 𝜃=55° before laminar flow separation occurrence on the sphere surface, respectively. This conclusion is yielded from narrowed wakes and reductions in turbulence statistics compared to the naked sphere model. The O-ring with a diameter of 3 mm and placement angle of 50° exhibits the most effective flow control. It decreases, in sequence, streamwise velocity fluctuations and length of wake recovery region by 45% and 40%, respectively, which can be evaluated as source of decrement in drag force.